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Doctor insights on: Malar Flush

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Dr. Thomas Fiala
3 Doctors shared insights

Malar Flush (Overview)

Malar flush is plum discolouration that occurs on the upper cheeks. It is sometimes seen with mitral stenosis, systemic lupus erythematosus or polycythemia rubra vera.


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The malar rash is inflammation caused from the immune system. Does this mean a malar rash is immune-mediated by definition?

The malar rash is inflammation caused from the immune system. Does this mean a malar rash is immune-mediated by definition?

All are...: All "rashes" are the result of the immune system. The difference is the trigger for the rash. So yes, it is an immune-mediated rash. ...Read more

Dr. Thomas Fiala
3 Doctors shared insights

Malar Flush (Overview)

Malar flush is plum discolouration that occurs on the upper cheeks. It is sometimes seen with mitral stenosis, systemic lupus erythematosus or polycythemia rubra vera.


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Lupus symptoms neg bloodwork, biopsy of facial rash showed sebhorreic dermatitis but get malar flushing. Deflated and seeking answers?

Lupus symptoms neg bloodwork, biopsy of facial rash showed sebhorreic dermatitis but get malar flushing. Deflated and seeking answers?

Maybe rosacea: Malar flushing is most commonly caused by a condition called rosacea. Many times there is a positive family history of similar symptoms. Wine, spicy foods will frequently provoke the flushing. The condition can be mild or severe depending on the degree of flushing and how often it happens. The biopsy seems to have ruled out lupus, but an immunofluresence bx
is more specific. Mirvaso may help. ...Read more

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I have a rash that starts on my cheeks can it be roscea? The temp and alcohol bring it on I have sle and get malar rash sometimes but this rash is different what treatment is avail for it thanks

I have a rash that starts on my cheeks can it be roscea? The temp and alcohol bring it on I have sle and get malar rash sometimes but this rash is different what treatment is avail for it thanks

Rosacea: Rosacea is a chronic skin condition that makes your face turn red and may cause swelling and skin sores that look like acne. Symptoms: redness of the face; blushing or flushing easily; a lot of spider-like blood vessels in the future. You do have rosacea. ...Read more

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Hi, I seem to have malar edema. I am not sure if it is allergy based or poor sleep. Is there anything non-surgical like massage that will "cure" it?

Hi, I seem to have malar edema. I am not sure if it is allergy based or poor sleep. Is there anything non-surgical like massage that will "cure" it?

Not insomnia: This is not from lack of sleep but if this is a recurrent problem, you should consult an allergist especially if you have choking or recurrent abdominal cramps to rule out a hereditary form of angioedema. Massage is not expected to reduce it. ...Read more

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Are there any home remedies to get rid of "flush" the stones?

Are there any home remedies to get rid of "flush" the stones?

Vit B6, Magnesium: This is not a "home remedy." It is from published research (sorry, don't have cite at hand). Vitamin B6, 200-500 mg per day, plus Magnesium (400-500 mg/day--or up to "bowel tolerance."). You can't "OD" on magnesium, because too much will cause diarrhea. Good idea to take a high-potency B complex along with the B6. Also, Cranberry juice, 2 glasses/day. ...Read more

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What is the definition or description of: Malar flush?

Malar flush: Malar flush is plum discolouration that occurs on the upper cheeks. It is sometimes seen with mitral stenosis, systemic lupus erythematosus or polycythemia rubra vera. ...Read more

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Why do malar flushes occur in mitral stenosis?

Why do malar flushes occur in mitral stenosis?

Malar flush: From the Merck manual:

The classic facial appearance in MS, a plum-colored malar flush, occurs only when cardiac output is low and pulmonary hypertension is severe; cause is cutaneous vasodilation and chronic hypoxemia. ...Read more

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Lupus symptoms neg bloodwork, biopsy of facial rash showed sebhorreic dermatitis but get malar flushing. Deflated and seeking answers?

Maybe rosacea: Malar flushing is most commonly caused by a condition called rosacea. Many times there is a positive family history of similar symptoms. Wine, spicy foods will frequently provoke the flushing. The condition can be mild or severe depending on the degree of flushing and how often it happens. The biopsy seems to have ruled out lupus, but an immunofluresence bx
is more specific. Mirvaso may help. ...Read more

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What are the most common causes of malar?

What are the most common causes of malar?

Depends: If you have lots of pain / arthralgias associated with malar rash you may want to be screened or tested for lupus or related autoimmune syndromes. Although acne rosacea can give one a malar rash like distribution as well. See your dr if this is ongoing. ...Read more

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What is the definition or description of: malar?

What is the definition or description of: malar?

Cheek bone: Malar refers to the cheek bone region of the face. ...Read more

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How long does a malar rash last?

How long does a malar rash last?

Sometimes. Forever: It depends on the cause of the rash. If it is secondary to lupus, it may be present forever or it may resolve with treatment. ...Read more

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Is the malar/butterfly rash a permanent rash?

Butterfly rash: Malar rash is commonly associated with lupus and can vary in intensity over time, a dermatologist can help advise you on topical medications. ...Read more

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Is there anything you can put on a malar rash to make it go away?

Is there anything you can put on a malar rash to make it go away?

See a dermatologist: A malar rash can have several causes including roseacea or even lupus. See a dermatologist before trying home remedies. ...Read more

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What causes this malar rash or "butterfly" rash on my face?

What causes this malar rash or "butterfly" rash on my face?

SLE: Malar rash is a sign of SLE (systemic lupus Erythematosis) there are other other autoimmune diseases which can also have this rash. There are many rashes which can look similar and be mistaken for a malar rash. The most common is rosacea. You will need an evaluation by someone with experience. If you have other symptoms see a rheumatologist. If the rash is your only symptom see Dermatology. ...Read more

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I have found out a bag developing above my left cheek. Is it malar bag 'festoons'? Any remedy for it or any exercise? I am afraid of surgery

I have found out a bag developing above my left cheek. Is it malar bag 'festoons'? Any remedy for it or any exercise? I am afraid of surgery

Need examination: Can't tell without examining you. Please make an appointment with your Physician to diagnose the lesion and to recommend treatment. The sooner thou go, the easier to treat. ...Read more

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Is a malar or "butterfly" rash always indicative of lupus? What else could it be?

Is a malar or "butterfly" rash always indicative of lupus? What else could it be?

Not always lupus: A malar or "butterfly" rash is one of the signs of possible lupus, but other rashes can appear similar, including eczema, rosacea, seborrheic dermatitis, allergic contact dermatitis, and others. A complete history, physical exam, and possible skin biopsy and/or blood test can usually distinguish between these rashes. ...Read more

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Can Urticaria cause permanent Malar type rash? I suffer from chronic Urticaria & on close inspection it appears to be in a wheel like form?

No: Urticaria does not cause a permanent rash although in certain cases (vasculitic urticaria) some scarring may occur. ...Read more

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My 3 year old son has a malar looking blush on his face that comes and goes throughout the day- no other symptoms- should I be worried about lupus?

My 3 year old son has a malar looking blush on his face that comes and goes throughout the day- no other symptoms- should I be worried about lupus?

No: Lupus is extremely rare at this age, especially in a male. See your pediatrician or a dermatologist if you are concerned. There are numerous other causes for the rash you describe. ...Read more

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Would ESR usually be raised with malar rash due to inflammation?

Would ESR usually be raised with malar rash due to inflammation?

Possibly: Localized rashes do not usually raise the ESR. It really depends of the cause of the malar rash. An underlying lupus would, rosacea would not. ...Read more

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Can dermatographia associated with lupus, I have only malar rash and dermatographia, all other things normal?

Can dermatographia associated with lupus, I have only malar rash and dermatographia, all other things normal?

Dermatographia: The exact cause of dermatographia is unknown. However, it is more associated with allergies rather than lupus. Symptoms of dermatographia usually go away on their own, and treatment for dermatographia generally isn't necessary. However, if the condition is severe or bothersome, your doctor may recommend antihistamine medications such as diphenhydramine, fexofenadine or cetirizine. ...Read more

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What is the percentage of developing the malar "butterfly rash" for Lupus patients? I was informed that only 30% will suffer from it.

What is the percentage of developing the malar "butterfly rash" for Lupus patients? I was informed that only 30% will suffer from it.

It depends: Avoid sunlight and you'll probably avoid the butterfly rash. And sun exposure may not even trigger it. Lupus is diagnosed by checklist -- a certain number of checks, with some groups weighted, gives the diagnosis -- and the diagnosis itself is only a guide to "what should we do" for this still-elusive illness. Best of luck. It's an especially challenging disease. ...Read more

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Early on in the course of Lupus could all blood results be negative/normal? Still ill and getting blatant malar rash despite neg results

Early on in the course of Lupus could all blood results be negative/normal? Still ill and getting blatant malar rash despite neg results

Very unlikely: Have the rash biopsied and then you will know. Discoid lupus often has a negative ANA but with systemic lupus a negative ANA is very rare. ...Read more

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Doed this look like a malar rash or just sunburn I am very concerned I go to doc tomorrow but im soo worried pic in profile?

Doed this look like a malar rash or just sunburn I am very concerned I go to doc tomorrow but im soo worried pic in profile?

Difficult to say: Can't tell with the picture in profile due to shadows. The good thing is that you will be seeing your doctor tomorrow. ...Read more

Malar (Definition)

Malar refers to the cheek bone ...Read more


Dr. Stephen Abraham
574 Doctors shared insights

Flushing (Definition)

Flushing = ...Read more